Institut für Notfallmedizin (IfN) - Zentrum für medizinische Simulation
Asklepios hospitals continue upward trend in the third quarter
• Number of patients treated develops positively
• Improved margin year-on-year in Q3 2013; EBITDA increases by 7.2% to €71.4 million
• Promissory note loan (“Schuldscheindarlehen”) of €300 million placed successfully
• Further improvement of balance sheet ratios; increasing equity ratio
The Asklepios Group continued to grow in the first nine months of the 2013 financial year: From January to September, 509,866 inpatients were treated, an increase of 0.5% compared to the same period of the previous year (9M 2012: 507,098). The number of outpatients increased by 8.9% to 1,069,444 (9M 2012: 981,954). High demand for inpatient medical services in the third quarter meant that after nine months Asklepios is now above the previous year here, too. The purely organic growth is also reflected by revenue, which increased by 2.9% to €2,251.0 million (9M 2012: €2,188.1 million).
In January to September 2013, operating earnings (EBITDA) declined by 2.2% year-on-year to €191.8 million, EBITDA (9M 2012: €196.1 million). The EBITDA margin moved down accordingly from 9.0% to 8.5%. As well as the modest start to the year, extraordinary and non-recurring effects, such as consulting expenses, made a notable impact here. After nine months, earnings before interest and taxes (EBIT) at €112.4 million with a margin of 5.0% were 7.2% lower than in the previous year (9M 2012: €121.1 million with a margin of 5.5%). This is primarily due to higher depreciation and amortisation expenses for increased internally financed investments (+5.7%). Consolidated net income fell by 10.1% and totalled €73.4 million (9M 2012: €81.7 million), which equates to a return on sales of 3.3% (9M 2012: 3.7%).
Net cash flow (operating cash flow) held steady at the level of the previous year at €184.8 million (9M 2012: €184.6 million). This was partly due to the improvement in working capital. A good half of operating cash flow was used for investments in property, plant and equipment and around a third to repay the comparatively expensive subordinated capital.
In the third quarter of 2013 alone, the operating margin at 9.7% was higher than in the comparative period for the first time this year (Q3 2012: 9.3%); in absolute terms, EBITDA improved by 7.2% to €71.4 million (Q3 2012: €66.6 million).
“As well as to seasonal effects, the positive operating performance in the third quarter is attributable in particular to our medical services, which are in line with demand. Our service-related efforts mean that supply is taken where demand among the population is highest, although wage and price increases cannot be compensated for in the short term. This makes it all the more gratifying that interest payments fell by around €3 million in the first nine months of the year, which was made possible by our sustainable refinancing strategy. We can only successfully combat the existing discrepancy between costs and revenue in the hospital sector with the combined effects of various measures”, Stephan Leonhard, Vice Chairman and CFO, underlined the positive development in Q3 2013.
Financing measures offer great financial scope and high flexibility
The financing and balance sheet ratios remain very sound and improved again compared to the mid-year financial statements. On 30 September 2013, the equity ratio was 33.5% (30 June: 33.0%). Cash and cash equivalents of €128.5 million and unutilised credit facilities of more than €272 million mean that the Group has sufficient financial reserves for capital expenditure and growth. As of the reporting date, net debt amounted to €597.0 million, of which €67.9 million related to subordinated capital. The debt ratio was therefore 2.3 times EBITDA (30 June 2013: 2.5 times).
In October, the Asklepios Group placed a promissory note loan of €300 million at very attractive conditions. Because the promissory note was six times oversubscribed, the originally planned total loan was tripled to €300 million. The three offered tranches have terms of five, seven and ten years, whereby €100 million relates to the ten-year tranche alone. In addition to savings banks, private banks and cooperative banks, institutional and international investors from Europe, China, Japan, India and others contributed more than a third to the transaction. Altogether, the group of creditors comprises 120 members. Together with the bond issued in 2010 and the €325 million syndicated loan concluded in the middle of this year, whose utilisation so far has been repaid with funds from the promissory note issue, the Asklepios Group’s financing is thus secured with a high degree of flexibility for the long term.
Outlook
The determining factors for the Asklepios Group’s targets for the year as a whole are the growth in patient numbers, the outcome of the outstanding budget negotiations at hospital level, the effects of the measures to increase earnings as part of “nextStep” and the specific cash inflow from the “Aid package for hospitals”. The business goals for 2013 include organic revenue growth in a range of 2% to 4% and an increase in operating earnings (EBITDA); in terms of earnings, achieving this target remains an ambitious challenge.
The full consolidated interim report on the first nine months of 2013 will be made available for download on the Asklepios website (www.asklepios.com) today.
About Asklepios
The healthcare group Asklepios Kliniken GmbH is a leading private operator of hospitals and healthcare facilities in Germany. The Group pursues a responsible, sustainable growth strategy that is geared towards high quality and innovative strength. With this approach, Asklepios has enjoyed dynamic development since its formation more than 25 years ago. At present, the Group has 140 healthcare facilities and employs more than 45,000 people throughout Germany. In the previous financial year, 2012, around 2.0 million patients were treated in Asklepios Group facilities.